title: [Results of bariatric surgery. Experience over 18 years].
abstract: BACKGROUND
  Bariatric surgery is the gold-standard treatment for morbid obesity because it has low morbidity rates in high-volume centers and generates long term sustained weight loss.
  
  
  OBJECTIVE
  To describe our experience in bariatric surgery since the creation of our bariatric program in 1992.
  
  
  METHODS
  Retrospective analysis of all patients subjected to bariatric surgery from 1992 to December 2010. Data was obtained from the electronic institutional registry. The Procedures per-formed were open and laparoscopic Roux-en-Y gastric bypass (BPGA and BPGL, respectively), laparoscopic adjustable gastric band (BGAL) and laparoscopic sleeve gastrectomy (GML).
  
  
  RESULTS
  A total of 4943 procedures were performed, 768 (16%) BPGA, 2558 (52%) BPGL, 199 (4%) BGAL and 1418 (29%) GML. The number of procedures progressively increased, from 100 cases in 2000 to over 700 cases in 2008. Proportion of femóles and preoperative mean body mass Índex fluctuated between 69 and 79% and 35 and 43 kg/m², respectively, among the different procedures. Early and late complications fluctuated between Oto 1% (higher on BPGA) and 3 to 32.7% (higher on BGAL), respectively. The excess weight lost at five years was 76.1% in BPGA, 92.5% in BPGL and 53.7% in BGAL. The figure for GML at three years was 73.7%.
  
  
  CONCLUSIONS
  The complication rates of this series of patients are similar to those reported in large series abroad. BPGL is still the most effective procedure; however GML is an attractive alternative for less obese patients.
authors.affiliation: Departamento de Cirugía Digestiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Sergio
authors.initials: S
authors.lastname: Guzmán
authors.forename: Mónica
authors.initials: M
authors.lastname: Manrique
authors.forename: Alejandro
authors.initials: A
authors.lastname: Raddatz
authors.forename: Enrique
authors.initials: E
authors.lastname: Norero
authors.forename: José
authors.initials: J
authors.lastname: Salinas
authors.forename: Pablo
authors.initials: P
authors.lastname: Achurra
authors.forename: Ricardo
authors.initials: R
authors.lastname: Funke
authors.forename: Camilo
authors.initials: C
authors.lastname: Boza
authors.forename: Fernando
authors.initials: F
authors.lastname: Crovari
authors.forename: Alex
authors.initials: A
authors.lastname: Escalona
authors.forename: Gustavo
authors.initials: G
authors.lastname: Pérez
authors.forename: Fernando
authors.initials: F
authors.lastname: Pimentel
authors.forename: Julietta
authors.initials: J
authors.lastname: Klassen
authors.forename: Luis
authors.initials: L
authors.lastname: Ibáñez
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods*; D015992:Body Mass Index; D005260:Female; D015390:Gastric Bypass; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D015397:Program Evaluation; D012189:Retrospective Studies; D016896:Treatment Outcome